12 results
Pulmonary Infections in HIV-AIDS
Bacterial: 
 • No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
Pulmonary Infections ... Evaluation: Imaging (CXR ... +/- High res CT ... chest scan), CBC ... Blood and sputum cx
Flail Chest Breathing on Physical Exam
74 year-old male, fallen over in the garden. Four rib fractures.
Flail Chest Breathing ... Physical Exam 74 year-old ... The video shows ... fractures missed by CXR ... , so use CT to identify
Flail Chest Breathing on Physical Exam
74 year-old male, fallen over in the garden. Four rib fractures.
Flail Chest Breathing ... Physical Exam 74 year-old ... The video shows ... fractures missed by CXR ... , so use CT to identify
Pulmonary Renal Syndrome

Definition: Diffuse alveolar hemorrhage + Glomerulonephritis
Presentation (Pulmonary and renal manifestations can occur weeks apart):
• Labs: CBC, cr ... anti-GBM ab, ANA, C3, C4 ... , anti-CCPCXR ... high resolution chest ... CT • Bronchoscopy
Miliary Pattern - Chest Radiology
 • Miliary opacities are scattered, small (1 -4 mm) nodules
 •
Opacities: • Infectious ... rarely typical pneumonia ... differential #diagnosis #pulmonary ... #CXR #clinical ... #CT
Lung Infections in HIV - Differential Diagnosis Framework

Disease by CD4 Count:
Any CD4 Count:
 • Mycobacterium tuberculosis,
Lung Infections ... Count: Any CD4 ... • CT: Halo sign ... Microsporidium #Lung #Infections ... #HIV #AIDS #pulmonary
Lung infarction
In pulmonar embolism it is not common to see consolidation.
The consolidation is a result of
infarction In pulmonar ... Here we see an old ... The pulmonary embolus ... On the CT we can ... Clinical #Radiology #CXR
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
polymicrobial infection ... Blood cultures • CXR ... early disease) • CXR ... CT Lung Abscess ... Lung #Abscess #pulmonary
Bronchiectasis - Summary

What?
• Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
Loss of weight • Chest ... Physical stigmata of cor ... CT) • Broncho-arterial ... Laboratory: • ANA, RF, CCP ... the airway • Treating
Community Acquired Pneumonia (CAP) - Diagnosis and Management

Pneumonia Signs/Symptoms:
 • Confusion/disorientation (LR + 1.9)
 • Cough
• Pleuritic chest ... infiltrate by chest ... radiograph or CT ... Yield of blood CX ... Management #treatment #Pulmonary